DR. KATHY ROUCEK PRAIRIE FNP
NPI 1356924674
Nurse Practitioner - Family in New York, NY

Q: What is Kathy Prairie's NPI number?

The NPI number for Kathy Prairie is 1356924674. It was assigned to this individual provider in the NPPES registry on May 4, 2021.

Q: What is Kathy Prairie's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kathy Prairie was last updated on September 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 04, 2021PECOS Enrolled

139 CENTRE ST PH 120, NEW YORK, NY 10013(888) 731-8994 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 16, 2025, May 4, 2021 (2 updates tracked since 2021).

On this page

About Dr. Kathy Roucek Prairie Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KATHY ROUCEK PRAIRIE FNP (NPI 1356924674) is an individual family provider in New York, New York, licensed in New York (332059) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, is affiliated with St Peter's Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1356924674

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameDR. KATHY ROUCEK PRAIRIECredential: FNP

Location Address139 CENTRE ST PH 120New York, NY 10013-4559

Mailing Address139 Centre St Ph 120New York, NY 10013-4559 · (888) 731-8994

Phone(888) 731-8994

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateMay 4, 2021

Last NPPES UpdateSeptember 16, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 16, 2025

✔ NPI 1356924674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · 332059

139 CENTRE ST PH 120, New York, NY 10013

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kathy Roucek Prairie Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7911372321

PECOS Enrollment IDI20230417000551

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Peter's Hospital

Acute Care Hospitals · Albany, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330057

Location315 South Manning BoulevardAlbany, NY 12208 · Albany County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10013 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$102.04 typical visit price

range $65.69 – $198.19

Typical copayment $25.51 (range $16.42 – $49.54)

Most-billed visit code 99203

Established Patient

$114.88 typical visit price

range $21.20 – $160.66

Typical copayment $28.72 (range $5.30 – $40.16)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SHELLY LATTE-NAOR M.D.

Internal Medicine